Nursa is not responsible for paying out any shift that is not scheduled in the Nursa App, and we do not allow facilities to post shifts after they have been worked.
If as a facility you would like a clinician to work a Nursa shift, it MUST be posted, requested, and scheduled in the App before the clinician works the shift. If you have a specific clinician in mind that you would like to work a shift, you are able to post the shift and share it directly with a clinician using Shift Share (found on the Shift Details; see image below). After they request the shift, you can schedule them. But this must be done before the shift is worked.
If this official process is not followed and a clinician works a shift for you that is not in the app, you as the facility are responsible for paying the clinician as a 1099 employee out of your facility payroll.